NPI | 1760636005 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG E BROPHY Optometrist 503-667-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2015-08-27 |